| NPI | 1558889584 |
|---|---|
| Former Name | KAITLYN NIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-11-06 |